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Dec 14, 2012
12/12
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regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and t
regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose...
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the attention now needs to be on medicare inside the aca. there were large structural reforms in the way healthcare was playing out. in fact, last year, we had a slower rate of growth and health care spending that we have had in quite a time. whether president has proposed is part of the current negotiations is another $300 billion cut in medicare. stuart: that is a cut. you do understand, that what we really -- >> stuart, that just is not true. we have not seen them play out. certainly, we will have to be coming back every year. usually, through a committee process where people vote at the end of the day. the republicans decided to take another course around the debt ceiling. i do not agree with you. i think to say otherwise is unfair to the president. stuart: i will have the last word. he is a hypocrite. let's not get into it now. you study up on that one, young simon. thank you very much. several states want longer school days. surprise, surprise, the unions are against it. that is next. ♪ only gaviscon® forms a protective barrier that
the attention now needs to be on medicare inside the aca. there were large structural reforms in the way healthcare was playing out. in fact, last year, we had a slower rate of growth and health care spending that we have had in quite a time. whether president has proposed is part of the current negotiations is another $300 billion cut in medicare. stuart: that is a cut. you do understand, that what we really -- >> stuart, that just is not true. we have not seen them play out. certainly,...
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Dec 14, 2012
12/12
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there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will not be coordinated with other welfare programs creating eligibility verification issues. the mandate says we use the correct coding issues. pennsylvania already performed this task through claim check, a federally approved system that cost pennsylvania $12 million to develop. the new system will be micromanaged by the federal government. the ac man it's we create new transaction methods for verification. our technology is more advanced than what is mandated and nobody
there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor-...
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Dec 21, 2012
12/12
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CNBC
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the -- plan to actually put the aca into place simply cannot go through with this plan. so we're talking about real cuts to folks' real lives. that's an important point of what's going on. >> fair enough. really more down the road. you heard ben jealous worry about that. let me just ask you -- >> the aca is going to raise health care costs monumentally. >> that's not a budget -- >> yes it is. >> reduce costs for consumers and cut the budget deficit by 1 $180 billion. what's the base of your projection? you're pulling it out of the air. >> no, i'm not. the congressional budget office keeps making costs increase from what they originally projected. now that various individual plans and firms are costing out what they're going to have to do, you're saying far more firms are going to be not covering people. this plan was conceived in a way that didn't understand the economic consequences. >> just to the clarify, the aca, obama care. >> yes. the affordable care act. >> basically protects -- >> anything but protect patients or be affordable. it is orwellian. >> another old deb
the -- plan to actually put the aca into place simply cannot go through with this plan. so we're talking about real cuts to folks' real lives. that's an important point of what's going on. >> fair enough. really more down the road. you heard ben jealous worry about that. let me just ask you -- >> the aca is going to raise health care costs monumentally. >> that's not a budget -- >> yes it is. >> reduce costs for consumers and cut the budget deficit by 1 $180...
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Dec 14, 2012
12/12
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the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out comes a denture health care instead of the process that we currently paid for. -- outcomes of in health care instead of the process we currently pay for. we are looking for patience centered care. if we look for that, we are going to have to pay for it. we have not done that in the past. we are engaged and dramatic and sweeping changes working with our private health insurance partners in arkansas. we have worked closely with cms to make the first of these changes, implementing in october for the state plan, not through waiver. it incentivizes for adhd, perinatal car
the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out...
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Dec 4, 2012
12/12
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>>> ya se siente el aire navideño por acá. le pedí un acarro!. >>> le decimos chichi claus! >>> un aplauso (aplausos). >>> le presento a tito nieves. >>> que seas feliz! >>> así es, salió hoy miso y quiero que lo regalen como regalo de navidad. >>> como sea, que seas feliz, ya se tiene uno! >>> viene de sergio gergeton. >>> es una fusión regional mexicano con la salsa. >>> son tdoas rancheras y hechas salsa. >>> sabemos que stás bien enamorado y que las cosas van bien.imagínate vienen más sorpresas. >>> la saludamos y le deseamos lo mejor. >>> qué tienen que hacer!. >>> no contesten por favor! >>> nuestro deseo es que sean feliz! >>> (mÚsica). >>> ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪. (mÚsica). ♪ ♪.
>>> ya se siente el aire navideño por acá. le pedí un acarro!. >>> le decimos chichi claus! >>> un aplauso (aplausos). >>> le presento a tito nieves. >>> que seas feliz! >>> así es, salió hoy miso y quiero que lo regalen como regalo de navidad. >>> como sea, que seas feliz, ya se tiene uno! >>> viene de sergio gergeton. >>> es una fusión regional mexicano con la salsa. >>> son tdoas rancheras y...
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Dec 17, 2012
12/12
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CSPAN2
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. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they have made which encourage people to retire even earlier than they do in the unit
. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this...